A 4-year-old boy presents with acute otalgia, fever 38.5°C and bulging erythematous tympanic membrane on the left. He is otherwise healthy. According ...

Question

A 4-year-old boy presents with acute otalgia, fever 38.5°C and bulging erythematous tympanic membrane on the left. He is otherwise healthy. According to CPS and CCFP guidance, what is the most appropriate initial management?

Accepted Answer

High-dose amoxicillin orally

Answer

Immediate broad-spectrum IV antibiotics

Answer

Topical decongestants only

Answer

No analgesia required

Answer

Oral macrolide as first-line in all children

ca-mccqe1 MCQ (SBA): Acute otitis media

A 4-year-old boy presents with acute otalgia, fever 38.5°C and bulging erythematous tympanic membrane on the left. He is otherwise healthy. According to CPS and CCFP guidance, what is the most appropriate initial management?